Adenomyosis Specialist & Treatment in Melbourne

Adenomyosis Treatment Melbourne

Specialised Adenomyosis Care with Dr Kent Kuswanto

Dr Kent Kuswanto is an experienced adenomyosis specialist in Melbourne, offering comprehensive diagnosis and treatment for women experiencing pelvic pain, heavy periods, and other disruptive symptoms. Get personalised, advanced care designed to significantly improve your quality of life.

Book your consultation today →

Understanding Adenomyosis

What is Adenomyosis?

Adenomyosis is a common, non-cancerous condition where tissue similar to the uterus lining (endometrium) grows into the muscular wall of the uterus (myometrium). This causes the uterus to become enlarged, bulky, or tender, often leading to significant discomfort and disruption to daily life.

Who is affected?
Adenomyosis affects up to 1 in 3 women, particularly those in their 30s–40s, though it can occur at any age, including those who haven’t had children.

Common Adenomyosis Symptoms

Adenomyosis symptoms vary significantly. Common symptoms include:

• Heavy periods (menorrhagia) – periods that are prolonged, heavy, or require frequent changes.
• Severe menstrual pain (dysmenorrhea) – cramping that often worsens over time.
• Chronic pelvic pain – discomfort persisting throughout the month.
• Pain during intercourse (dyspareunia) – discomfort during or after sex.
• Pelvic pressure or fullness – sensation due to an enlarged uterus.
• Fatigue and anaemia – due to prolonged heavy bleeding.

If these symptoms are affecting your daily life, it’s important to seek specialist care.

How is Adenomyosis Diagnosed?

Diagnosing adenomyosis can be complex, as its symptoms often overlap with other gynaecological conditions like fibroids and endometriosis.

Diagnostic steps typically include:

• Pelvic ultrasound (transvaginal) – Detects uterine thickening or irregularities.
• MRI (Magnetic Resonance Imaging) – Helps differentiate adenomyosis from fibroids and other conditions.
• Clinical pelvic examination – Identifies enlargement or tenderness of the uterus.

While definitive diagnosis requires microscopic examination after hysterectomy, experienced specialists can reliably diagnose adenomyosis through detailed imaging and clinical history.

Adenomyosis vs Endometriosis: What’s the Difference?

While both adenomyosis and endometriosis involve abnormal growth of uterine tissue, their locations differ:

• Adenomyosis: Tissue grows within the uterine muscle wall.
• Endometriosis: Tissue grows externally, affecting ovaries, bowel, bladder, and other pelvic organs.

Symptoms can overlap, but adenomyosis commonly causes heavy menstrual bleeding, whereas endometriosis often presents with ongoing pelvic pain throughout the menstrual cycle.

Adenomyosis Treatment Options

Treatment aims to relieve pain, heavy bleeding, and improve quality of life. Options depend on your age, severity of symptoms, and reproductive plans.

Non-Surgical Treatments:

• Hormonal Therapies:
  • Combined oral contraceptive pills
  • Progesterone treatments (e.g., Mirena IUD)
  • GnRH analogues (induces temporary menopause-like state)

These methods effectively manage symptoms for many women.

Surgical Treatment Options:

• Hysterectomy (removal of the uterus):
  • Currently the only definitive cure for severe adenomyosis.
  • Typically preserves ovaries unless medically indicated otherwise.

Surgical removal stops menstrual pain and heavy bleeding, significantly improving your quality of life.

Can Adenomyosis be Treated Without a Hysterectomy?

Because adenomyosis typically spreads diffusely within the uterine muscle, surgical removal without hysterectomy is challenging. However, localised adenomyosis (“adenomyoma”) may sometimes be surgically excised, though recurrence is possible.

Dr Kuswanto can assess if conservative surgery suits your individual situation.

Minimally Invasive Robotic Hysterectomy

Dr Kent Kuswanto specialises in minimally invasive hysterectomy techniques, including advanced laparoscopic and robotic surgery. Compared to open surgery, benefits include:

• Lower risk of complications
• Reduced post-operative pain
• Minimal scarring
• Shorter hospital stay
• Faster recovery and return to normal activities

If you’ve been advised open surgery, it’s strongly recommended to seek a second opinion from an expert in robotic or laparoscopic approaches.

Why Choose Dr Kent Kuswanto as Your Adenomyosis Specialist?

Choosing the right specialist significantly influences treatment outcomes. Dr Kent Kuswanto is a recognised expert in complex adenomyosis cases, regularly performing minimally invasive surgeries with exceptional patient results.

He sees patients privately at Epworth Freemasons in East Melbourne and Werribee, providing comprehensive, personalised care from diagnosis to post-operative recovery.

Common Questions About Adenomyosis

Does adenomyosis always require surgery?
No, surgery is reserved for severe cases or when conservative treatments fail.

Can adenomyosis affect fertility?
Yes, adenomyosis may affect fertility. Discuss these concerns with your specialist.

How quickly will symptoms improve after hysterectomy?
Most women experience rapid symptom relief post-surgery, although individual recovery times vary.

Schedule Your Specialist Consultation Today

If you’re experiencing adenomyosis symptoms or need an expert second opinion, contact Dr Kent Kuswanto today. Receive personalised care designed to improve your quality of life.

Call (03) 9115 9338 or Book Your Consultation Now →